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Bariatric surgery

15 clinics

Overall rating by
verified patients

14 reviews
4.6
The overall rating of clinics where Bariatric surgery can be performed, based on Bookimed patients experience.


Bariatrics (from Greek βάρος “compressing” stomach) is a field of surgery dealing with overweight issues.

Bariatric methods affect the main reason of overweight reducing a need for meal and reflex of the stomach to collect and ingest meal.

Increasing statistical data state that more and more people from the developed countries use different types of surgery to correct their weight - it is safe and has a long-time effect.

Direct indications to bariatric surgery

  • morbid (life threatening) obesity. For men it is 45 kg extra, for women - 35 kg. This group consists of the patients with body mass index (BMI) over 40;
  • grade 1-2 obesity (BMI 30 to 40) complicated by cardiac and pulmonary abnormalities, diabetes, hypertensions.


You can calculate your Body Weight Index using the formula weight (kg)/square height (m). If your index is over 30, you should think about the changes in your lifestyle, diet and treatment.

Why is surgical treatment of obesity so popular?

  • it’s an easy way to resolve the problems related with the obesity, associated hormonal disorders, which treats up to 80% of patients with type 2 diabetes. Regular diet and physical activity cannot help such patients;
  • there is no need to change your lifestyle and eating habits – You can eat everything you used to;
  • there is no hunger – most interventions speed up the saturation period and thus there is no more need to “stuff” yourself;
  • self-assessment increases - the patient feels better, becomes really younger and quits alimentary addiction.


For many people it is a real chance to break pathological relations with a fridge, to decrease a risk of vascular pathology and to normalize their metabolism.

Most of such interventions do not require hospitalization and the effect can be observed within 2 weeks.

Ballooning

Palliative method consists of placing of a silicon balloon with water inside the stomach. In this case “volume saturation” is caused by presence of volumetric object in the stomach.

As a rule, a balloon contains 500ml of water and is supposed to be placed in the stomach for six months and then removed. Reduction of extra mass reaches 70%. It is supposed that by the time of removal the patient has got accustomed to less amount of food.

Disadvantages of the method:


  • digestion of the balloon. It should be replaced in half a year (healthfulness of silicon digestion is discussed);
  • when the balloon is removed, the volume of food necessary for satiety will increase as well as hunger after small portions will come back.


Ballooning can be advised to the patient who cannot undergo surgery due to the vascular risks (associated with hypertension together with diet-induced obesity).

Laparoscopic gastric banding

A special ring is installed on the upper third of the stomach. Therapeutic effect is based on the fact that most pressure receptors (nervous system interprets stretching of the wall of the stomach as satiety) are located in the upper segment.

The following occurs:

  • space of 40-50 ml is created in the upper segment of the stomach;
  • while eating the meal quickly fills this space and the wall at this segment stretches ;
  • receptors transmit information about the satiety (“if it is already stretched, than it is full) to the brain;
  • hunger disappears after several spoons of food.


Diameter of the ring can be adjusted by doctor after the surgery through a special port using a regular syringe (it is impossible to find a port if you don’t know about performing the surgery).

The procedure is performed in endoscopic manner during 40 minutes leaving no marks of manipulations. It does not damage the stomach (nothing is cut off), the banding can be removed at any time.

Disadvantages of the method:


  • patients who love the process of eating usually are not satisfied with the procedure. Quick satiety is interpreted as food “compaction”;
  • nutrition rules must be observed, otherwise a vomiting occurs when overeat.


Incompetent installation of the banding (when the organ is overtighten) can cause distention of the stomach above the ring and suppuration in the area of tightening. Gradual immersion of the ring in the stomach is rarer phenomenon.

Surgical Center ServiDigest in Barcelona (Spain) is a famous medical institution which makes laparoscopic gastric banding. The Hospital tends to use attenuated methods of bariatric interventions. It is popular due to a small amount of complications and affordable prices.

Gastric bypass surgery

This method is popular in Canada and the USA and is characterized by safety and long-time effect. A “small” stomach is formed surgically (endoscopically, without incisions) for the same purpose as those of banding.

A formed space of 20-50 ml is stitched to the small intestine. The rest of the stomach is left (unchanged?)(food does not get into it). Bile and duodenal secretion combine with the food via a separate anastomosis (conjunction).

Advantages of the bypass surgery:


  • quick and long-lasting satiety. Besides the reflex responding to the stitched walls, there is one more reflex when the food gets into the small intestine – organism receives a double signal of “full stomach”;
  • decreased nutrient absorption (bile and hydrochloric acid enter the stomach lower the usual entrance level);
  • no need (in comparison with the banding) to control the compression level after the surgery, less complications;
  • no foreign bodies are introduced in the organism.


This is an optimal method when the BMI is over 50. It is recognized as the gold standard to treat the morbid obesity.

In the Eastern Europe this operation is made in several medical institutions, one of which is St. Zdislava Hospital (Czech Republic, Vysočina). Popularity of the Hospital is based on the use of Da Vinci Surgical System and reputation of the Head of Surgical Department.

Operations are performed by Dr. Jaroslav Tvaruzer - a specialist who has recommendation of Intuitive Surgical (the company which created the 2Da Vinci Surgical Systems) for such surgical interventions in Europe.

Experience and assistance of the surgical system (already assisted in performance of over 2,000 surgeries) reduces possibility of complications after the gastric bypass surgery to the minimum.

Sleeve gastroplasty – modified bypass surgery

This method has developed from the standard bariatric bypass surgery. The main difference is in the artificial narrowing of the stomach when a narrow “sleeve” is formed but the organ is not removed or excluded.

This approach has been developed occasionally as it is difficult to make a single-stage bariatric bypass surgery in patients over 200kg and the first “sleeves” were created as temporary, intermediate measure before “exclusion” of the main part of stomach from the process of digestion.

Due to some technical issues some of these patients spent a long time with the narrowed stomach. It was noted that such patients lost up to 80% of overweight and there was no more need to exclude the stomach.

Advantages over classic surgery:


  • there are no strict tight restrictions on the volume of meal;
  • less possibility of dyspeptic disorders, no risk of demineralization which sometimes occur after bypass surgery;
  • if needed, there is possibility of comprehensive bypass surgery after formation of the sleeve (if effect of the sleeve is insufficient).


When applying with premorbid and morbid obesity, try to choose the hospital which provides both sleeve gastroplasty and classic bypass surgery. In this case you will be advised the type of the treatment which is the best in your case.

 

Teknon (Spain) is a famous hospital in Western Europe which proposes both types of surgical interventions.

LIV Hospital
Turkey, Istanbul
Overview
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Doctors

LIV Hospital Group consists of multi-specialized Turkish hospital with two divisions of LIV Hospital Ankara, and LIV Hospital Istanbul (Ulus). Both of them are smart hospitals of new generation with all the medical technologies available in the world: da Vinci robot-assisted system for the s...

derek stocker
Sep 9, 2015

I needed a special MRI scan not available in Bulgaria or Romania. JMB Active, a Medical Tourism company in BG arranged everything. I was extremely impressed with JMB's service, the hospital, the facil...

Hasan Altun
Hasan Altun

Surgeon

Experience : 20 years
D
Sep 9, 2015
5
«Very good»

I needed a special MRI scan not available in Bulgaria or Romania. JMB Active, a Medical Tourism company in BG arranged everything. I was extremely impressed with JMB's service, the hospital, the facilities and the staff. Better than anything I have experienced in the 3 countries I have spent most of my life..England, Zimbabwe & Bulgaria. No hesitation in highly recommending LIV and the agency. As my Johnson & Johnson metal hip implants are poisoning me I got confirmation I was not imagining the toxicity and now I am planning returning to Liv to have Hip Revision.

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Asklepios Medical Group
Germany, Gamburg
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Teknon Hospital (Barcelona)
Overview
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Reviews
Doctors
Teknon Medical Center (Centro Medico Teknon) demonstrates some of the highest success rates in the world for surgical treatment in oncology, general and bariatric surgery (weight loss). Teknon has the best statistics in Europe for the treatment of neurological disea...
Jakub
Dec 21, 2016

My 6-year old son was diagnosed with epilepsy. We couldn’t find an appropriate specialist in Czech Republic who could adequately assign medical treatment for 6 months. So, my wife and I decided to go ...

Carlos Ballesta Lopez
Carlos Ballesta Lopez

Head Of Laparoscopic Surgery Center. Spacialist in liver, gallbladder and pancreas surgery.

Experience : 40 years
J
Dec 21, 2016
5
«Very good»
The patient was treated of epilepsy

My 6-year old son was diagnosed with epilepsy. We couldn’t find an appropriate specialist in Czech Republic who could adequately assign medical treatment for 6 months. So, my wife and I decided to go for diagnostics and treatment abroad. To do this we turned to Bookimed company with a request to find and recommend us a specialized clinic that has a possibility to examine our child. Our coordinator Zeeshan Zaman offered several clinics. After a joint discussion we chose the Teknon Clinic in Barcelona and we’re totally satisfied with treatment! Antonio Russi consulted us and made all the tests. With prescribed medication my son doesn’t have any seizures at all.

S
Dec 21, 2016
5
«Very good»
The patient underwent childbirth

My husband often has business trips in Spain, and knowing how I‘m nervous about giving birth, he decided to find the best Spanish clinic for me. I’m very grateful, he chose the Teknon as a place for labor. Everything went well and without complications. In addition, the husband was allowed to be present at the birth himself, which was very supportive. I was well cared at all times and had everything that I needed. Thank you so much!

E
Dec 20, 2016
5
«Very good»

The first sensation of my arrival - I am very satisfied with the service. We were greeted, brought to the hospital and what was promised to us was all done. We have a phone and when we do not understand something, we call and our translator immediately comes. I like it very much. And we have raised the hope that doctors here can help us and I really believe in that. We have already made PET, MRI, blood tests and now passing the fourth day of video monitoring. We asked Bookimed to find a clinic that can help us, then we had all our data sent and we were offered Spain. They said it is one of the best clinics in general.

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Medipol Mega Hastaneler Kompleksi
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Medipol University Hospital is the largest private multi-specialized medical institutions. The clinic with the world’s recognition offers a wide range of high-levelled services and has the greatest number of departments in Turkey. This Medical Center is appreciated by patients from all over th...
Anastasiia Borovyk
Canada
Jan 28, 2016

My close family relative was diagnosed with Acute Leukaemia a year ago at age of 26 and he needed a bone narrow transplant as the very last option to save his life. This procedure is not available ...

Sema Aktas
Sema Aktas

Experience : 7 years
A
Canada
Jan 28, 2016
5
«Very good»
The patient was treated of acute lymphoblastic leukemia

My close family relative was diagnosed with Acute Leukaemia a year ago at age of 26 and he needed a bone narrow transplant as the very last option to save his life. This procedure is not available in Ukraine and we spent weeks searching for the most affordable clinics with a good reputation. On January 12th, a few minutes right after visiting the website I was reached by Aleksey Berkovets from Bookimed.
He was an extremely polite, helpful and very professional. I really liked that compare to other services he didn`t promote any specific clinic or country, he gave me an options to choose from.
After only one short week on January 20th Dmytro was landed in Istanbul to start his treatment in Medipol Clinic!!

Thank you for your constant support Aleksey! You are much appreciated!

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Medical Park Hospitals Group
Turkey, Istanbul
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Medical Park is the largest group of hospitals in Turkey. Compliance of their medical services is confirmed by Joint Commission International. Medical Park Hospitals are ranked first in the number of organ transplants and provide high success rates in bone marrow transplantation. Oncological units u...
Tugrul Demirel
Tugrul Demirel

Experience : 18 years
Manipal Hospitals
India, Bengaluru
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Description
Reviews

Manipal Hospitals represent Clinical Unit of private Indian company Manipal Education & Medical Group (MEMG), one of the leading healthcare centers in India with more than fifty years of experience in the field of medical care. Today, Manipal Hospitals is the third largest health care pr...

Lachina
Dec 21, 2016

I was diagnosed with hemophthalmos and urgently needed an operation vitrectomy. I could not find doctor who could make this operation. I turned to the internet for help and found Bookimed. They answer...

L
Dec 21, 2016
5
«Very good»
The patient was treated of

I was diagnosed with hemophthalmos and urgently needed an operation vitrectomy. I could not find doctor who could make this operation. I turned to the internet for help and found Bookimed. They answered me quickly, my doctor was coordinator Ivan Koval. After very short time I received all necessary information and program of treatment. I was very lucky with coordinator, he is a professional, friendly, diligent and responsible doctor. I came on tourist visa to Fortis clinic which is located in India, New Delhi. The Fortis clinic I immediately did not like. Interpreters are not serious, medical personnel seemed to me not very responsible, laws changed, the coordination of the clinic was awful. After examination I was refused to do surgery on a tourist visa, it was necessary to get medical visa which needed additional 15 days and a lot of money as Fortis doctors told me, so I was very nervous. All the time my doctor was the coordinator for communication with clinic, he called me every 10 min to ask how are you, how are you feeling, talking to the medical staff the clinic, he was very worried too. At the same day Ivan Koval found another clinic in Bangalore and Dr. Priya who brought me from Delhi to Bangalore that night. And then I had two good responsible doctors, Dr. Priya and Dr. Koval, who found the best surgeons for me. Thanks a lot for that!!! In Bangalore I was very warmly welcomed by the staff of the hospital and taken to Manipal where I waited for good, responsive, cute and beautiful hospital personnel . They carefully examined me and my eyes, appointed the time of surgeryi. At day of operation I had no doubt that my operation will be great. Otherwise could not be. My surgical doctors were the most experienced, responsible, sensitive and highly qualified doctors in the world. Operation went very easily and well, I did not feel much pain after surgery. I was happy when the next day doctors removed the blindfold, my eyes began to see as before)) This was my second birth. even tears of joy rolled down my face. My doctors were Dr. Ajanta Chakravarty and Dr. Nitin S. Shetty. I express my heartfelt gratitude to my favorite doctors and the entire staff of Manipal for perfect and noble work that is so important to people. I was very pleased to feel a lot of attention, sympathy and understanding! A low bow to you for the tremendous, competent force in saving our lives!

G
Dec 21, 2016
5
«Very good»
The patient was treated of viral hepatitis c

After a blood transfusion in Kherson I was diagnosed with hepatitis C. Analysis showed a viral load of 88,000, there was a heaviness in the liver. When the doctor in infectious diseases hospital explained perspectives - I was horrified. Effective antiviral drugs are not registered, and the order in Europe need a long time to come and is expensive for hepatitis. Familiar doctor advised treatment in India, where these drugs are much cheaper, as well as comprehensive tests. I came to the Manipal clinic and paid less than $ 2,000 for all, bought there Hepcinat (Indian version of sofosbuvir). The liver does not hurt, now I wait for test results.

S
Dec 21, 2016
5
«Very good»
The patient underwent artificial insemination ivf

Me and my husband wanted to have a second child. We went through IVF in Russia, but there was no good results. Then we started to look for a profitable option abroad and decided to go to India, at the time of vacation. The Manipal doctors did their work for ridiculous money and a short time. Already a year has passed after my return from India, so I share impressions while the baby is sleeping. I was afraid of the terrible service and living conditions, but staying at Manipal proved to be like real Europe.

Latest 3 reviews
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Kardiolita Private Hospital
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Kardiolita Hospital is the leading private multidisciplinary hospital - one of the largest private medical institutions in Lithuania and in the Baltic States. The Hospital offers a full range of medical services - from diagnostics to the most complex surgeri...

Zbigniew
Dec 21, 2016

The clinic is just excellent. My father had 4 strokes, but our doctors could not determine where the problem was, but in Kardiolita clinic for just 4 days after passing all tests was identified 95% bl...

Nerijus Kaselis
Nerijus Kaselis

Experience : 29 years
Z
Dec 21, 2016
4
«Good»
The patient was treated of ischemic stroke

The clinic is just excellent. My father had 4 strokes, but our doctors could not determine where the problem was, but in Kardiolita clinic for just 4 days after passing all tests was identified 95% blockage of the vertebral artery. On 5 day, he had the surgery and the next day returned to the ward. The food and all the amenities are good, the staff is smiling and friendly. Now he is undergoing rehabilitation on therapist’s advice.

M
Dec 21, 2016
4
«Good»

Many thanks to cardiac surgeons for operations, and most importantly for the result - Health of my son! Thanks to the professor and his team, the boy has got the opportunity to play football. Thank you. Special thanks to the staff of the center for a homely atmosphere, maternal care, warmth and comfort. A year has passed and we miss you. Special thanks to our sponsors.

I
Dec 21, 2016
4
«Good»

There are no such new beautiful words to express it to the people who have helped our family and saved it. It can only be felt with the heart of the power of Heaven, which is endowed with Giedrius Uzhdavinis and his entire team. We will remember you always, until the heart will beat in our breasts!!!

T
Dec 21, 2016
5
«Very good»

We contacted Bookimed for help in organizing the consultation with angiosurgeon and duplex scanning of brachiocephalic arteries. Due to professional care of Bookimed coordinator Svetlana Kalinichenko we chose Kardiolita clinic in Vilnius and appointed date of the diagnostics. Because of the change of plans we needed to change the date of the survey. In the morning we moved the date and on the same day we got an appointment with a specialist! Thanks a lot to all the staff and Svetlana personally. Good luck in your noble work!

Latest 4 reviews
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Nordwest Clinic (Krankenhaus)
Germany, Frankfurt
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Nordwest Krankenhaus is a multi specialized medical institution, a leading hospital in Germany due to development of innovations, such as 3D ultrasound, anticancer vaccines in targeted therapy. It comprises 5 research institutes and 11 specialized centers.

Thomas W Kraus
Thomas W Kraus

Experience : 30 years
BLK Super Speciality Hospital
Description
Fortis Healthcare
India, Gurgaon
Overview
Description
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Doctors

Network of health hospitals Fortis Healthcare is represented in many countries of Asia and has many years of experience in treating patients from all over the world. Total network includes 62 medical clinics complex, an increasing number of which are located in the territory of India.

Marouf Elgzoli
Oct 6, 2016

Look for a doctor Neurologists with experience in treating Chiari syndrome Arnaud...

Ajay Kumar Kriplani
Ajay Kumar Kriplani

Experience : 33 years
M
Oct 6, 2016
4
«Good»

Look for a doctor Neurologists with experience in treating Chiari syndrome Arnaud

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